45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published
○Gross / standard charges
○Discounted cash price
●Payer-specific negotiated rates
●Min / max negotiated charges
●Free, public, no login required
Procedures listed
16,823
Insurances with rates
43
CPT / HCPCS codes
14,862
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 688982 | Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg | $79,220 | $79,220 | $330 | $340 | 5 |
| 687079 | Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), | $67,881 | $67,881 | $2,265 | $2,313 | 3 |
| 705421 | Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra | $35,636 | $35,636 | $913 | $1,404 | 3 |
| 677556 | Aortography, thoracic, by serialography, radiological supervision and interpretation UNSCHEDULED | $34,986 | $34,986 | $2,265 | $2,313 | 3 |
| 704850 | Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll | $33,440 | $33,440 | $4,969 | $5,074 | 3 |
| 677144 | Angiography, extremity, bilateral, radiological supervision and interpretation | $29,178 | $29,178 | — | — | 3 |
| 891624 | Osteogenesis stimulator, electrical, surgically implanted | $28,433 | $28,433 | $334 | $499 | 28 |
| 704849 | Computed tomography, abdomen and pelvis; with contrast material(s) UNSCHEDULED | $26,213 | $26,213 | $4,599 | $4,695 | 3 |
| 680713 | Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological s | $25,664 | $25,664 | — | — | 3 |
| 704848 | Computed tomography, abdomen and pelvis; without contrast material | $25,555 | $25,555 | $913 | $1,404 | 3 |
| 691785 | Injection, rasburicase, 0.5 mg | $23,392 | $23,392 | $359 | $370 | 5 |
| 691800 | Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calc | $22,882 | $22,882 | $913 | $13,040 | 9 |
| 691808 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $22,101 | $22,101 | — | — | 3 |
| 680914 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo | $21,275 | $21,275 | $3,633 | $3,709 | 3 |
| 683721 | Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral | $21,142 | $21,142 | $1,186 | $1,826 | 3 |
| 691799 | Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morpholo | $20,421 | $20,421 | $1,888 | $1,928 | 3 |
| 683517 | Dilation of ureter(s) or urethra, radiological supervision and interpretation UNSCHEDULED | $19,964 | $19,964 | $1,329 | $1,357 | 3 |
| 680078 | Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) an | $19,578 | $19,578 | $913 | $1,404 | 3 |
| 974994 | Puraply, per square centimeter (add-on, list separately in addition to primary procedure) | $19,448 | $19,448 | $97.16 | $100 | 2 |
| 708233 | Venography, renal, bilateral, selective, radiological supervision and interpretation UNSCHEDULED | $19,364 | $19,364 | $2,265 | $2,313 | 3 |
| 677130 | Aortography, abdominal, by serialography, radiological supervision and interpretation | $19,086 | $19,086 | — | — | 3 |
| 680091 | Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and f | $18,987 | $18,987 | $913 | $1,404 | 3 |
| 680110 | Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe | $18,987 | $18,987 | $7,956 | $8,123 | 3 |
| 0042T | Cerebral perfusion analysis using computed tomography with contrast administration, including post-p | $18,987 | $18,987 | $913 | $1,404 | 3 |
| 680088 | Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and | $18,987 | $18,987 | $1,422 | $1,452 | 3 |
| 682974 | Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontr | $18,987 | $18,987 | $913 | $1,404 | 3 |
| 682950 | Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if | $18,987 | $18,987 | $3,675 | $3,752 | 3 |
| 682951 | Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if | $18,987 | $18,987 | $3,084 | $3,149 | 3 |
| 681723 | Kidney imaging morphology; with vascular flow and function, single study without pharmacological int | $18,777 | $18,777 | $2,057 | $2,100 | 3 |
| 705772 | Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantit | $18,410 | $18,410 | — | — | 3 |
| 681735 | Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic | $17,667 | $17,667 | $2,057 | $2,100 | 3 |
| 683341 | Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, | $17,598 | $17,598 | $3,653 | $3,730 | 3 |
| 682980 | Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, i | $17,598 | $17,598 | $913 | $1,404 | 3 |
| 677851 | Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, | $17,598 | $17,598 | $3,381 | $3,452 | 3 |
| 683723 | Magnetic resonance angiography with contrast, chest (excluding myocardium) | $17,251 | $17,251 | $1,186 | $1,826 | 3 |
| 677263 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, | $16,847 | $16,847 | — | — | 3 |
| 691811 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $16,788 | $16,788 | — | — | 3 |
| 680073 | Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) | $16,425 | $16,425 | $3,140 | $3,206 | 3 |
| 677151 | Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and i | $16,404 | $16,404 | — | — | 3 |
| 681721 | Kidney imaging morphology; with vascular flow | $15,584 | $15,584 | — | — | 3 |
| 705373 | Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram | $15,574 | $15,574 | $1,703 | $1,756 | 5 |
| 681584 | Liver and spleen imaging; static only UNSCHEDULED | $15,005 | $15,005 | $1,957 | $1,998 | 3 |
| 683448 | Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study | $14,943 | $14,943 | — | — | 3 |
| 683451 | Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study UNSCHEDU | $14,943 | $14,943 | $1,602 | $1,636 | 3 |
| 702737 | Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial | $14,757 | $14,757 | $2,016 | $2,079 | 5 |
| 680085 | Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and | $14,605 | $14,605 | $3,660 | $3,737 | 3 |
| 680082 | Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) | $14,605 | $14,605 | $913 | $1,404 | 3 |
| 681662 | Bone and/or joint imaging; 3 phase study UNSCHEDULED | $14,459 | $14,459 | $2,057 | $2,100 | 3 |
| 680090 | Computed tomography, lumbar spine; with contrast material | $14,457 | $14,457 | $913 | $1,404 | 3 |
| 680109 | Computed tomography, abdomen; with contrast material(s) | $14,457 | $14,457 | $913 | $1,404 | 3 |
Showing top 50 of 16,823 priced procedures, sorted by gross charge.
Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.